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Jurnal Health Sains
Published by Syntax Corporation Indonesia
ISSN : 27236927     EISSN : 27234339     DOI : http://doi.org/10.36418
Core Subject : Health,
Dentistry Health Professions Medicine & Pharmacology Nursing Public Health Veterinary
Jurnal Health Sains adalah jurnal yang diterbitkan sebulan sekali oleh Ridwan Institute. Jurnal Health Sains akan menerbitkan artikel ilmiah dalam lingkup ilmu kesehatan. Artikel yang diterbitkan adalah artikel dari penelitian, studi atau studi ilmiah kritis dan komprehensif tentang isu-isu penting dan terkini atau ulasan buku-buku ilmiah.
Arjuna Subject : Profesi Kesehatan - Bimbingan Kesehatan dan Transkripsi
Articles 764 Documents
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Pedunculated Osteochondroma of the Right Foot Following Traumatic Injury: A Rare Case Report Al Hakim, Muhammad Fariz; Pandelima, Maksum
Jurnal Health Sains Vol. 6 No. 11 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i11.2779

Abstract

Osteochondromas are the most common benign bone tumors, accounting for 20-50% of all benign osseous neoplasms. However, osteochondromas involving the foot and ankle are rare, representing only 3-10% of all cases. The relationship between trauma and osteochondroma development remains a subject of clinical interest. A 37-year-old female presented with three-month history of progressive right foot pain following a traumatic fall down stairs. Examination revealed a 5cm × 5cm × 2cm firm, non-mobile mass on the lateral foot with restricted ankle motion. The mass had enlarged from 2cm × 2cm to 4cm × 4cm over three months. Pedunculated osteochondroma was diagnosed clinically and radiologically. Complete surgical excision was performed using osteoclasis technique. Histopathology confirmed benign osteochondroma with uneventful post-operative recovery. The temporal relationship between the traumatic fall and subsequent identification of the osteochondroma raises important questions about whether trauma triggered secondary osteochondroma development or simply brought attention to a pre-existing asymptomatic lesion. Post-traumatic osteochondromas are thought to arise from displacement of growth plate cartilage fragments through the cortex, though the exact mechanism remains incompletely understood. The progressive enlargement over three months in a skeletally mature adult was potentially concerning for malignant transformation; however, the clinical presentation and benign histopathological diagnosis confirmed a benign lesion. Plain radiography demonstrating cortical and medullary continuity with the parent bone remains the primary diagnostic modality, with cross-sectional imaging reserved for cases with atypical features or concern for malignancy. Osteochondroma should be considered in the differential diagnosis of post-traumatic foot masses presenting with hard swelling and restricted motion. Complete surgical excision achieves excellent outcomes with low recurrence rates. Timely diagnosis through appropriate imaging and multidisciplinary collaboration are crucial for optimal management.
A Case of Anencephaly with Concomitant Maternal Overweight: Clinical Presentation and Outcome Ismirajna G.T, Kanesti; Panggung T.S, Sir; Nanda R.P, Gustie; Riana, Salsabila
Jurnal Health Sains Vol. 6 No. 11 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i11.2741

Abstract

Anencephaly, a lethal neural tube defect (NTD), results from failed cranial neural tube closure during early embryogenesis. Maternal risk factors, including obesity and inadequate periconceptional folic acid intake, are well-established contributors. This report describes a case involving a 29-year-old primigravida with a Body Mass Index (BMI) of 28.03 kg/m² (overweight) who was referred at 39 weeks gestation for delivery following a prenatal diagnosis of anencephaly. The patient had no personal history of chronic illness but had not taken folic acid supplements prior to conception, initiating prenatal vitamins only after pregnancy confirmation. A cesarean section delivered a male infant with classic features of anencephaly. Despite resuscitation, the newborn died shortly after birth. The development of anencephaly in this instance is associated with two key modifiable risk factors: maternal overweight status and the absence of preconceptional folic acid supplementation. Neural tube closure occurs within the first month of pregnancy, often before pregnancy recognition, making folic acid initiation after confirmation too late to prevent NTDs. Maternal overweight or obesity is an independent risk factor that can compromise the fetal environment and potentially alter folate metabolism. This case underscores the critical importance of preconception health counseling, emphasizing the necessity of folic acid supplementation for all women of reproductive age, commencing before conception. This public health measure is particularly crucial for women with elevated BMI.
Managing Cecal Enterocutaneous Fistula Through Application of Cecostomy Tube : an Effective Approach Pattiiha, Abdul Muthalib; Kusmayadi, Dikki Drajat; Lia, Emiliana; Caesarini, Evelyn Franca
Jurnal Health Sains Vol. 6 No. 11 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i11.2743

Abstract

One of the rare post appendectomy complications is enterocutaneous fistula in the cecum. There is limited research on surgical treatment for this condition; however, excising the fistula and performing primary closure with placement of a cecostomy tube could be considered as another potential approach. A 12-year-old boy who underwent appendectomy surgery 2.5 years ago presented with a complaint of fecal discharge from a surgical scar in the right lower abdomen, which began 7 days after the operation. He observed intestinal mucosa protruding from the enterocutaneous fistula opening two weeks prior to hospital admission. Fistulography revealed an enterocutaneous fistula in the right lower abdomen originating from the proximal ascending colon. During exploratory laparotomy, an enterocutaneous fistula was identified in the cecum, originating from the appendiceal stump. The fistula was excised, followed by primary suture and insertion of a cecostomy tube, positioned with its end 15 cm proximal to the ileocecal junction. The cecum was then fixed to the right lower abdominal peritoneal wall. The cecostomy tube was removed on the 14th day after surgery, and during follow-up, there were no signs of leakage or recurrence of the fistula. The management of fistulas involves both conservative and surgical approaches. In our instance, surgical intervention included excising the fistula and performing primary suture, along with inserting a cecostomy tube. This approach aimed to preserve the function of the cecum, thereby reducing pressure on it and facilitating decompression. This case is uncommon, and there is limited literature on its treatment. It necessitates personalized management. The use of a cecostomy tube could be considered as an alternative surgical approach in managing enterocutaneous fistulas involving the cecum.
Blood Pressure Management in Acute Ischemic Stroke Jayesthiwi Wanami Putri, Ni Made Wini
Jurnal Health Sains Vol. 6 No. 11 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i11.2778

Abstract

Stroke is a leading cause of death worldwide, with acute ischemic stroke (AIS) being one of its most common forms. AIS occurs when the blood supply to the brain is blocked due to thrombosis or embolism, leading to ischemic brain tissue. Blood pressure management in AIS patients is crucial, as it directly impacts patient outcomes, such as preventing further brain damage, recurrent stroke, and other cerebrovascular complications. The 2019 AHA/ASA guidelines provide distinct strategies for blood pressure management, depending on whether the patient is undergoing reperfusion therapy. For patients with AIS without reperfusion therapy, blood pressure should not be aggressively lowered unless it exceeds 220/120 mmHg. In contrast, for patients undergoing reperfusion therapy, such as IV-tPA or endovascular therapy, blood pressure should be maintained below 185/110 mmHg before and during the procedure. Different antihypertensive agents are used, with short-acting drugs such as labetalol, nicardipine, and hydralazine being commonly employed. Managing blood pressure correctly during AIS treatment is critical in preventing complications such as hemorrhagic transformation and ensuring better long-term neurological outcomes.
The Relationship Between Scabies Risk Factors and The Incidence of Scabies in Male Santri at Nurul Jadid Islamic Boarding School, Kubu Raya Azzahra, Jihan
Jurnal Health Sains Vol. 6 No. 12 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i12.2788

Abstract

Scabies is an infectious disease caused by Sarcoptes scabiei variety hominis that spreads through direct or indirect contact. This skin disease is characterized by itching and is easily transmitted from person to person and occurs in boarding schools with a high incidence rate. This study aims to determine the relationship between risk factors for scabies and the incidence of scabies in male students at Pondok Pesantren Nurul Jadid Kubu Raya. Observational analytic research with a cross-sectional type research design approach. The independent variables in this study were lighting, antiseptic use, bed cleanliness, clothing / prayer equipment and towel cleanliness of male students, while the dependent variable in this study was the incidence of scabies at Nurul Jadid Islamic Boarding School Kubu Raya with a total sample of 60 people. The results of Spearman's rho test showed that water hygiene, bed hygiene, clothing hygiene and towel hygiene were associated with the incidence of scabies. There is no relationship between lighting and the use of antiseptics with the incidence of scabies in Nurul Jadid Kubu Raya Islamic Boarding School.
Psychiatric Disorders Complications in HIV/AIDS Patients and the Factors Influencing Them at the Karawang District General Hospital Purba, Evani; Gunawan, Fizal; Maduma, Ceyka; Tantular, Gabriella; Gunawan, Arif
Jurnal Health Sains Vol. 6 No. 12 (2025): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v6i12.2789

Abstract

HIV infection increases a patient's risk of developing various psychiatric disorders, including depression, mania, psychosis, post-traumatic stress disorder (PTSD), and substance abuse. In addition, antiretroviral therapy (ART) may trigger or exacerbate psychiatric symptoms, potentially affecting treatment adherence and overall quality of life. This study aimed to identify the prevalence of psychiatric disorder complications among HIV/AIDS patients and to analyze the factors influencing their occurrence at Karawang District General Hospital. A cross-sectional study design was employed using data obtained from medical records and patient interviews at the HIV alternative polyclinic of Karawang District General Hospital in August 2025. The target population consisted of 300 patients who met the inclusion and exclusion criteria. Data collection instruments included the Self-Reporting Questionnaire (SRQ-29) and structured medical interviews. Statistical analysis was performed using SPSS with multinomial regression and binary logistic regression methods. The results showed that 54.3% of patients did not experience psychiatric disorders, while 45.7% had at least one type of psychiatric disorder. Among those with psychiatric disorders, PTSD symptoms were the most prevalent (45.3%), followed by organic mental disorders (27.8%), psychotic disorders (23.3%), and substance abuse disorders (3.7%). The use of Atripla (efavirenz, emtricitabine, and tenofovir) increased the risk of psychiatric symptoms by 1.518 times, although this association was not statistically significant. Overall, the findings indicate a considerable burden of psychiatric symptoms among HIV/AIDS patients, highlighting the need for integrated mental health screening and management in HIV care.
Risk Factors Associated with Multivessel Coronary Artery Disease: A Cross Sectional Study Firdaus, Zulfian; Putra, Muhammad Faqih Dwi; Tanjung, Suyata Adelina; Saragih, Robert E.
Jurnal Health Sains Vol. 7 No. 1 (2026): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v7i1.2795

Abstract

Cardiovascular disease (CVD) is the highest cause of death globally, with coronary artery disease (CAD) as its manifestation. Multivessel disease (MVD), which involves two or more coronary vessels, has a higher risk of major cardiovascular events and long-term mortality than single-vessel disease (SVD). This study aims to determine the significant risk factors for the occurrence of MVD. The retrospective cross-section research design was carried out by analyzing medical record data of 122 patients who underwent coronary angiography (CAG) at Karawang Hospital in June-December 2023. Chi-square analysis was used for the identification of risk factors associated with MVD, and variables with p<0.025 were further analyzed using multivariate logistic regression. Results showed that diabetes mellitus (62.3%) and hypertension (50.0%) were the main risk factors, with a significant association between the two with the incidence of MVD (p=0.019 for hypertension, p=0.022 for diabetes). Logistic regression revealed that diabetes mellitus (OR=3.06; p=0.027) and hypertension (OR=3.72; p=0.015) were independent predictors of MVD incidence. Dyslipidemia showed no significant association (OR=1.89; p=0.271), likely as a result of the use of statin therapy. These findings confirm the importance of early detection, control of metabolic risk factors, and lifestyle modification in the prevention of MVD.
Improving The Diagnostic Accuracy of Exercise Stress Testing in Detecting Coronary Heart Disease using St/Hr Hysteresis Suryaguna, I Made Sakta; Wiryawan, I Nyoman
Jurnal Health Sains Vol. 7 No. 1 (2026): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v7i1.2796

Abstract

Coronary heart disease (CHD) is still the leading cause of cardiovascular morbidity and mortality in the world, including in Indonesia. Cardiac test with electrocardiography (ECG) is a widely used non-invasive test because it is relatively low cost and easy to perform, but the standard parameter of ST segment depression has limitations in diagnostic accuracy. ST/HR hysteresis is an alternative parameter that considers changes in the ST segment to heart rate during the exercise and recovery phases, which are reported to have better diagnostic capabilities. This study aims to assess the improvement of the diagnostic accuracy of cardiac training tests in detecting CHD using ST/HR hysteresis. This study is a diagnostic study conducted at Sanglah Hospital Denpasar in the period of December 2018 to April 2019. The subjects of the study were patients with suspected CHD who had undergone cardiac training tests and coronary angiography as the gold standard. The analysis was carried out on the ST/HR value of hysteresis obtained from secondary data, then the optimal cut-off point was determined using Receiver Operating Characteristic (ROC) analysis. A total of 134 patients were analyzed, with 59 patients (44%) proven to have significant CHD based on coronary angiography. The results of ROC analysis showed the cut-off point of ST/HR hysteresis ≥0.026 mV with an AUC value of 84.8%, sensitivity of 79.7%, and specificity of 85.3%. This value is higher than the variable parameters of the conventional ST segment. The net reclassification improvement (NRI) analysis showed a value of 0.28, which indicates an increase in diagnostic accuracy. It is concluded that ST/HR hysteresis improves the diagnostic accuracy of cardiac training tests and can be used as an effective and efficient additional parameter in detecting coronary heart disease.
Characteristics of Superficial Dermatomycosis Patients at RSUD Dr. H. Chasan Boesoirie Ternate in 2019-2022 Khoir, Muhammad Fathul; Marsaoly, Ryan Rinaldy; Albaar, Thoha Muhajir
Jurnal Health Sains Vol. 7 No. 1 (2026): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v7i1.2799

Abstract

Superficial dermatomycosis is the most common fungal skin disease in humans and is caused by dermatophytes and some opportunistic fungi. It is estimated to affect around 20–25% of the world’s population, and its incidence is increasing. The purpose of this study was to determine the characteristics of superficial dermatomycosis patients at RSUD Dr. H. Chasan Boesoirie Ternate from 2019 to 2022. This retrospective descriptive study used a proportional random sampling technique based on the population of superficial dermatomycosis patients who met the inclusion and exclusion criteria, and data collection was carried out using medical records. The results showed that, out of the 80 cases, the majority of patients were adults (63%), students (45%), and males (65%). The most common type of superficial dermatomycosis was tinea corporis (34%), and the most frequently administered treatment was combination therapy involving topical antifungals, systemic antifungals, and antihistamines (31%). In conclusion, most cases of superficial dermatomycosis occurred in adult males, with tinea corporis being the predominant type and combination therapy being the most common treatment approach.
Evaluation of The Effect of Completeness of Inpatient Medical Records on Patient Safety Incidents at Kendari City Hospital Sander, Tara; Sulistyowati, Yeny; Garnida, Aliefety Putu
Jurnal Health Sains Vol. 7 No. 2 (2026): Journal Health Sains
Publisher : Syntax Corporation Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.46799/jhs.v7i2.2809

Abstract

Medical records are official documents that contain comprehensive information about a patient’s health condition, including medical history, examination results, diagnoses, medical procedures, and therapies provided. Incomplete medical records can hinder communication among healthcare professionals and increase the risk of patient safety incidents. This research aimed to evaluate the effect of medical record completeness on patient safety incidents at Kendari City General Hospital. The research employed a mixed-method approach with a population of 6,026 patients and a sample of 110 documents. The independent variable was medical record completeness, while the dependent variable was patient safety incidents. Data were collected through reviews of electronic medical records (EMR) and analyzed using multiple linear regression. The results showed that the completeness of inpatient medical records did not have a significant effect on patient safety incidents (regression coefficient = –0.036; p = 0.261). Authentication and digital signatures were the only indicators that significantly influenced patient safety incidents (B coefficient = –0.346; p = 0.000). These findings indicate that inpatient medical record completeness is not the sole factor contributing to patient safety incidents. In the short term, hospitals need to strengthen authentication procedures and conduct routine audits; in the medium term, integrating EMR technology with real-time authentication alerts and training on record completeness should be implemented; and in the long term, hospitals may adopt a fully integrated digital authentication system within EMR equipped with Artificial Intelligence (AI)-based automated verification.

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